This is identified when the children are socially and scholastically dysfunctional. Oftentimes they are treated for Attention Deficit and Hyperactivity Disorder without Hyperactivity and Impulsivity. This misdiagnosis is due to the destructive nature of the children's hallucination. Auditory hallucination is the most frequent cause of their distraction. The symptom needs to be persistent for more than six months. Two or more of these symptoms need to be presents for more than one month within a six-month period. Patients present with disorganized-pressured incoherent speech associated with derailment. They often present with grossly disorganized behavior, with poor abstractions.